Impact of patient level factors on the improvement of the ABCs of diabetes

Gretchen A. Piatt; Thomas J. Songer; Maria M. Brooks; Robert M. Anderson; David Simmons; Trevor J. Orchard; Linda M. Siminerio; Mary T. Korytkowski; Janice C. Zgibor

doi:10.1016/j.pec.2010.04.005

Impact of patient level factors on the improvement of the ABCs of diabetes

Gretchen A. Piatt, Thomas J. Songer, Maria M. Brooks, Robert M. Anderson, David Simmons, Trevor J. Orchard, Linda M. Siminerio, Mary T. Korytkowski, Janice C. Zgibor

Research output: Contribution to journal › Article › peer-review

Abstract

Objective: To determine which patient factors contribute to improvements in the ABCs of diabetes following a multi-faceted diabetes care intervention. Methods: A multi-level, cluster design, randomized controlled trial examined the effectiveness of a Chronic Care Model (CCM) intervention in an underserved community (n = 119). Results: Improvements in glycemic control were experienced among older subjects (p = 0.02), those with higher scores on the WHO-10 Quality of Well-Being Subscale 1 (p = 0.05), and those in the CCM group (p = 0.04). Insulin use was associated with greater improvements in SBP and DBP. Those taking insulin (p = 0.07), and those more satisfied with their diabetes care and ready to make a behavior change (p = 0.08) experienced larger improvements in Non-HDLc. Medication treatment intensification (TI) did not significantly impact the ABCs. Conclusion: Psychosocial and sociodemographic factors explained more of the variation in the ABCs than TI, and are important contributors to clinical improvement. Practice Implications: Providers may be able to identify and intervene on patients who are at risk for developing diabetes complications and improve the consistency, quality, and effectiveness of patient care.

Original language	English
Pages (from-to)	266-270
Number of pages	5
Journal	Patient Education and Counseling
Volume	82
Issue number	2
DOIs	https://doi.org/10.1016/j.pec.2010.04.005
Publication status	Published - 2011

Keywords

cholesterol
diabetes
disease management
medical care
patient education

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1016/j.pec.2010.04.005

http://ezproxy.uws.edu.au/login?url=http://doi.org/10.1016/j.pec.2010.04.005

Cite this

@article{2b261bc3c5bd459491bac074d0a58b6f,

title = "Impact of patient level factors on the improvement of the ABCs of diabetes",

abstract = "Objective: To determine which patient factors contribute to improvements in the ABCs of diabetes following a multi-faceted diabetes care intervention. Methods: A multi-level, cluster design, randomized controlled trial examined the effectiveness of a Chronic Care Model (CCM) intervention in an underserved community (n = 119). Results: Improvements in glycemic control were experienced among older subjects (p = 0.02), those with higher scores on the WHO-10 Quality of Well-Being Subscale 1 (p = 0.05), and those in the CCM group (p = 0.04). Insulin use was associated with greater improvements in SBP and DBP. Those taking insulin (p = 0.07), and those more satisfied with their diabetes care and ready to make a behavior change (p = 0.08) experienced larger improvements in Non-HDLc. Medication treatment intensification (TI) did not significantly impact the ABCs. Conclusion: Psychosocial and sociodemographic factors explained more of the variation in the ABCs than TI, and are important contributors to clinical improvement. Practice Implications: Providers may be able to identify and intervene on patients who are at risk for developing diabetes complications and improve the consistency, quality, and effectiveness of patient care.",

keywords = "cholesterol, diabetes, disease management, medical care, patient education",

author = "Piatt, {Gretchen A.} and Songer, {Thomas J.} and Brooks, {Maria M.} and Anderson, {Robert M.} and David Simmons and Orchard, {Trevor J.} and Siminerio, {Linda M.} and Korytkowski, {Mary T.} and Zgibor, {Janice C.}",

year = "2011",

doi = "10.1016/j.pec.2010.04.005",

language = "English",

volume = "82",

pages = "266--270",

journal = "Patient Education and Counseling",

issn = "0738-3991",

publisher = "Elsevier Ireland ",

number = "2",

}

TY - JOUR

T1 - Impact of patient level factors on the improvement of the ABCs of diabetes

AU - Piatt, Gretchen A.

AU - Songer, Thomas J.

AU - Brooks, Maria M.

AU - Anderson, Robert M.

AU - Simmons, David

AU - Orchard, Trevor J.

AU - Siminerio, Linda M.

AU - Korytkowski, Mary T.

AU - Zgibor, Janice C.

PY - 2011

Y1 - 2011

N2 - Objective: To determine which patient factors contribute to improvements in the ABCs of diabetes following a multi-faceted diabetes care intervention. Methods: A multi-level, cluster design, randomized controlled trial examined the effectiveness of a Chronic Care Model (CCM) intervention in an underserved community (n = 119). Results: Improvements in glycemic control were experienced among older subjects (p = 0.02), those with higher scores on the WHO-10 Quality of Well-Being Subscale 1 (p = 0.05), and those in the CCM group (p = 0.04). Insulin use was associated with greater improvements in SBP and DBP. Those taking insulin (p = 0.07), and those more satisfied with their diabetes care and ready to make a behavior change (p = 0.08) experienced larger improvements in Non-HDLc. Medication treatment intensification (TI) did not significantly impact the ABCs. Conclusion: Psychosocial and sociodemographic factors explained more of the variation in the ABCs than TI, and are important contributors to clinical improvement. Practice Implications: Providers may be able to identify and intervene on patients who are at risk for developing diabetes complications and improve the consistency, quality, and effectiveness of patient care.

AB - Objective: To determine which patient factors contribute to improvements in the ABCs of diabetes following a multi-faceted diabetes care intervention. Methods: A multi-level, cluster design, randomized controlled trial examined the effectiveness of a Chronic Care Model (CCM) intervention in an underserved community (n = 119). Results: Improvements in glycemic control were experienced among older subjects (p = 0.02), those with higher scores on the WHO-10 Quality of Well-Being Subscale 1 (p = 0.05), and those in the CCM group (p = 0.04). Insulin use was associated with greater improvements in SBP and DBP. Those taking insulin (p = 0.07), and those more satisfied with their diabetes care and ready to make a behavior change (p = 0.08) experienced larger improvements in Non-HDLc. Medication treatment intensification (TI) did not significantly impact the ABCs. Conclusion: Psychosocial and sociodemographic factors explained more of the variation in the ABCs than TI, and are important contributors to clinical improvement. Practice Implications: Providers may be able to identify and intervene on patients who are at risk for developing diabetes complications and improve the consistency, quality, and effectiveness of patient care.

KW - cholesterol

KW - diabetes

KW - disease management

KW - medical care

KW - patient education

UR - http://handle.uws.edu.au:8081/1959.7/uws:31669

U2 - 10.1016/j.pec.2010.04.005

DO - 10.1016/j.pec.2010.04.005

M3 - Article

SN - 0738-3991

VL - 82

SP - 266

EP - 270

JO - Patient Education and Counseling

JF - Patient Education and Counseling

IS - 2

ER -

Impact of patient level factors on the improvement of the ABCs of diabetes

Abstract

Keywords

UN SDGs

Access to Document

Other files and links

Fingerprint

Cite this